Individual
BROOKE REDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 784-2059
Mailing address
840 CHANNING CIR, BENICIA, CA 94510-3634
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-HXGTGI
CA
Other
Enumeration date
11/22/2019
Last updated
11/13/2024
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